Prevalence of anemia in school children in the age group of 8 to 14 years in Thiruvarur, Tamilnadu, India
DOI:
https://doi.org/10.18203/2349-3291.ijcp20192168Keywords:
Anemia, Grades of anemia, Low socio-economic status, ObesityAbstract
Background: Iron deficiency is responsible for most of the nutritional anemia. Hemoglobin concentration is a reliable indicator of anemia at the population level, as opposed to clinical measures which are subjective and therefore have more room for error. Measuring Hemoglobin concentration is relatively easy and inexpensive, and this measurement is frequently used as a proxy indicator of iron deficiency. To study the association of certain risk factors with the prevalence of anemia in school children in the age group of 8-14 years.
Methods: The study was conducted from April 2017 to March 2018 in Department of Paediatrics, Government Thiruvarur Medical College, Thiruvarur. The study population consisted of school children in the age group of 8 to 14 years fulfilling the inclusion and exclusion criteria. The sample size was 250. Complete hematological investigations was done to each child for differential diagnosis of anemia.
Results: Majority of the children studied had a normal BMI 38.4% (n=96), 16.8% (n=42) were classified as overweight, 9.2% (n=23) were classified as obese. 22.8% (n=57) were classified as having thinness. 12.8% (n=32) were classified as having severe thinness. Of the 132 children with anemia, majority had mild anemia 64.39% (n=85) followed by moderate 28.03% (n=37) and severe anemia 7.58% (n=10). Of the 132 children with anemia, majority had mild anemia 64.39% (n=85) followed by moderate 28.03% (n=37) and severe anemia 7.58% (n=10).
Conclusions: The prevalence of anemia was significantly higher in female children (64.91%) compared to male children (42.65%). The prevalence of anemia is highest in children with severe thinness (78.13%) followed by children with obesity (73.91%). The most common type of anemia in our study was iron deficiency anemia. Majority of the children were suffering from anemia of mild severity. There was no statistically significant correlation between the prevalence of anemia in children and age and socioeconomic status.
References
Agarwal K, Gomber S, Bishat H, Som M. Anemia prophylaxis in adolescent girls by weekly or daily iron-folate supplementation. Indian Pediatr. 2003;40(4):296-301.
Basu S, Hazarika R, Parmar V. Prevalence of anemia among school-going adolescents of Chandigarh. Indian Pediatr. 2005 Jun;42(6):593-7.
Chandra J, Gupte S, Sobti p. pediatric hematology. in: Gupte s (ed): The short textbook of pediatrics, 11th Ed. New Delhi: Jaypee; 2009:524-554.
Chaturvedi S, Kapil U, Gananasekaran N, Sachdev HP, Pandey RM, Bhanti T. Nutrient intake amongst adolescent girls belonging to poor socioeconomic groups of rural areas of Rajasthan. Indian Pediatr. 1996;33(3):197-201.
Choudary SM, Dhange VR. A study of anemia among adolescent females in the urban area of Nagpur. Indian J Community Med. 2008;33(4):243-245.
Dallman PR, Siimes MA, Stekel A. Iron deficiency in infancy and childhood. Am j Clin Nutr. 1980;33(1):86-118.
DeMaeyer E, Adiels- Tegman M. The prevalence of anemia in the world. World health Stat Q. 1985:38(3):302-16.
Eid, AL Hooted S, prevelance of Anemia in schoolchildren a preliminary study. J Kuwait Med Assoc. 1985;20:39-43.
Goel S, Gupta BP. Low prevalence among adolescent of an urban hilly community. Indian J Community Med. 2007;32(1):1-3.
Shah BK, Gupta P. Anemia in adolescent girls: A preliminary report from semi urban Nepal. Indian pediatr. 2002;39(12):1126-30.
Jackson RT, Al-Mousa Z. Iron deficiency is a more important cause of anemia than hemoglobinopathies in Kuwaiti adolescent girls. J Nutr. 2000;130(5):1212-6.
Rajaratnam A, Jonathan AP. Prevalence of anemia among adolescent girls belonging to poor socioeconomic groups of rural areas. Indian Pediatrics. 1996;33:197-201.
Kapoor G, Aneja S. Nutritional disorders in adolescent girls. Indian pediatr.1992;29(8):969-73.
Kleigman RM, Stanton BF, St. Geme JW, Schor NF, Behrman RE. Nelson Textbook of Pediatrics, 20th ed. United States of America: Philadelphia, PA: Elsevier; 2015.
Muthayya S, Thankachan P, Zimmermann MB, Andersson M, Eilander A, Misquith D, et al. Low Anaemia prevalence in school-aged children in Bangalore, south India: possible effect of school health initiatives. Eur J Clin Nutr. 2007 Jul;61(7):865-9.
